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NPI Code Detail

MEDICARE: DAVID SCOTT ANDERSON MD

MEDICARE: DAVID SCOTT ANDERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician200400007NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013991066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCOTT ANDERSON MD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1350 WHITAKER RIDGE DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-4966
Country : US
Telephone Number : 336-718-8000
Fax Number : 336-718-8011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 01/28/2022

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Directions to “ DAVID SCOTT ANDERSON MD” Practice Location

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